TY  - GEN
TI  - Chinese-Style Decentralization and Health System Reform
AU  - Hipgrave, David
AU  - Guo, Sufang
AU  - Mu, Yan
AU  - Guo, Yan
AU  - Yan, Fei
PY  - 2012
PB  - Public Library of Science
LA  - eng
KW  - health systems reforms
KW  - health insurance
KW  - access to health care
KW  - health equity
AB  - April 2012 marked the end of the three years China set for implementation of the first phase of its health system reform (HSR), and several recent reports assessed progress in this massive undertaking. Two of them identify impressive achievements in health insurance coverage, infrastructure development, and uptake of services, but all three reports draw attention to slow progress in several areas: quality of services at the community level, persisting financial risk for individuals, and the almost complete lack of independent tracking of progress in health outcomes. The reports also recommend an increased focus on burgeoning rates of non-communicable diseases. Government-commissioned external reviews also highlighted these and other issues, underscoring related high-level awareness. However, none of the reports attempted to place China's HSR in the context of the nation's evolving political economy, or to predict its influence on achievement of the major HSR objective—equitable and affordable access to quality health services.
UR  - http://hdl.handle.net/10986/23208
UR  - https://www.pollux-fid.de/r/base-ftworldbank:oai:openknowledge.worldbank.org:10986/23208
H1  - Pollux (Fachinformationsdienst Politikwissenschaft)
ER  -